Individual
DR. GREGORY DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
29 ABBOT RD, SMITHTOWN, NY 11787-2322
(631) 793-9156
Mailing address
29 ABBOT RD, SMITHTOWN, NY 11787-2322
(631) 793-9156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021801
NY
103T00000X
Psychologist
PY60632239
WA
103TS0200X
School Psychologist
Primary
749032131
NY
Other
Enumeration date
06/27/2013
Last updated
10/23/2019
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